ENDING EXTREME POVERTY WHATEVER IT TAKES

Concern Worldwide US Annual Report 2019 Concern Worldwide US Annual Report 2019

4 Who We Are and What We Do

6 Where We Work

10 Our Programs

36 By The Numbers

Ethiopia Cover Photo: Mestawat Sorsa, farmer and mother, SNNPR region, Ethiopia. Photo: Kieran McConville, Concern Worldwide Contents

Émanise, Émanise is 16 years old and lives with her sister Alphonse, a brother-in-law, a nephew, and a niece in a small tin house at the end of a narrow alleyway in the heart of Cité Soleil. She lost her mother in 2016 and since then Alphonse and her husband have supported the family. Émanise is repeating 4th grade in school, having failed the tests to progress further. Alphonse says the family does not have enough money to buy books and this was the reason why Émanise did not do so well in school. She has however successfully completed a tailoring course run by Concern. “I attended the course every day after school and on Saturdays and Sundays, and really enjoyed it,” she says “I was always interested in sewing and tailoring,” she adds, adding that she would love to take that interest further when she completes school. “I would love to design and make jumpsuits.” As part of the course, the students each made an item of clothing — Émanise created a beautiful classic pleated dress in lime green, which she proudly models and wears on special occasions. Photo: Kieran McConville/ Concern Worldwide

A Message from the Chief Executive Officer and the Chair, Board of Directors 3

Concern Worldwide Who We Are and What We Do 4 Where We Work 6

Our Programs 10 Emergency Programs 12 Livelihoods Programs 14 Health and Nutrition Programs 16 Education Programs 18 Integrated Programs 20

How We Work 24 US Government Partnership 27 CMAM at 20 28 Our Supporters 30 Concern by the Numbers 36 US Board of Directors 37

Features Cyclone Idai 8 Climate-Smart Agriculture 22 A Game Changing Year 32 COVID-19 Pandemic 34

1 Mwanisha, Malawi Mwanisha Mbera, mother of 3, tends a cooking fire at the family home in Mangochi, Malawi. The family is taking part in Concern’s graduation program. Photo: Kieran McConville / Concern Worldwide

2 A Message from the Chief Executive Officer and the Chair, Board of Directors

In 2019, the year we report on here, we are proud to share nutrition, education, livelihoods, and climate resilience. One that with the help of our global community of supporters and example of that commitment is our work in Climate-Smart partners, our teams across 24 countries of operation, and our Agriculture. We have reached 569,000 smallholder farmers offices in Ireland, the UK, South Korea, and the US worked across 19 countries, tripling crop yields in some places, and together to increase the number of people reached to 28.6 significantly reducing labor time, especially for women. million. And we reached new heights in funds raised – more than $200 million worldwide, including nearly $50 million in the US. We couldn’t do any of it without partners. Our donors are of course our primary partners, but we also work As always, we were laser-focused on efficiency and with hundreds of local civil society organizations and impact. In the US we increased the portion of funds other international NGOs, several academic institutions, supporting our programs on the ground from 90% to 93%. foundations, and US Government agencies, such as the We are committed to returning the faith and trust our Bureaus of Humanitarian Affairs and Population, Refugees, donors place in us with the highest levels of stewardship and Migration. We are also actively strengthening our and accountability. corporate partnerships. In 2019, we launched a new initiative with Archer Daniels Midland Company’s ADM Concern Worldwide is an organization born of humanitarian Cares division. The Lifesaving Education and Assistance to response, and 2019 was a year of unprecedented, urgent Farmers (LEAF) Project will provide immediate and longer- need. Some 70 million people remained displaced in 2019. term responses to chronic malnutrition and hunger for One out of every 57 people in the world was in need of people living in extreme poverty in and Ethiopia. humanitarian assistance. The combined forces of conflict, climate, and cyclical hunger called us to respond from our As we write, in Summer 2020, we are witnessing a vast experience and in new, innovative ways. historic grassroots push for racial equity and justice. As an American organization, the inspiration we take is sustained In all, the 82 emergencies we responded to last year were by the knowledge that our Irish founders’ herculean effort up from 66 in 2018, a reflection of a world in increasing to work with Biafrans to reach -stricken Biafra was turmoil. We’ll share just a couple of examples here very much rooted in a spirit of defiance against those who did not equally value Black lives. In March, Cyclone Idai hit Southern with devastating force. In Malawi, nearly one million people were affected. Additionally, our nation, and the world, are in the grips of the Fortunately, our team there is extremely agile and COVID-19 pandemic. While it seems infection and mortality experienced, and quickly mounted a comprehensive rates in our countries of operation are not as high as they response that included food distributions to 2,500 have been in the world’s wealthier countries, a great threat households, seeds and tools to 7,500 households and cash remains, not only of deadly outbreaks but also of ripple transfers to 8,120 families. Our vital recovery efforts over effects, such as hunger caused by interrupted supply chains, the months that followed helped thousands get back on depleted markets, failed crops, and reduced aid. With the their feet, as you’ll see later in this report. support of our donors, our teams will not take a single step back in our support to the people who most need our help. More than 700,000 Rohingya refugees continue to struggle for survival – in silence, to most of the world – in the camps In these pages you will find both inspiration and around Cox’s Bazar, Bangladesh. When we visited last reassurance that your support matters. Thank you for summer, we found a team there working around the clock continuing to stand with us. Thank you for standing with on multiple fronts and leading the way in the treatment of the people you will meet in this report: Mwanisha and malnutrition. This included screening and treating children Patrick in Malawi, Emanise in Haiti, Faduma in South and vulnerable older people, achieving cure rates of above Sudan, Attir in Kenya, and Joana in Mozambique. 80%. They also taught over 5,000 pregnant and breastfeeding mothers and caregivers about nutrition and personal Thank you for your investing in people like them – and hygiene, running more than 400 cooking demonstrations for millions more – in 2020 and beyond. approximately 12,700 caregivers, and distributing seeds and fertilizer to over 2,100 households for home gardening.

The trust of our supporters empowers our teams to do this work. We will continue to partner with remote and vulnerable communities in places like Malawi for as long as we are needed. We will stand with people like the Rohingya until they are able to find safety and stability.

Of course, our efforts don’t stop there. Ending extreme poverty requires a long-term commitment to sustainable Colleen Kelly Joanna Geraghty change. We’re doing that work in the areas of health, Chief Executive Officer Chair, Board of Directors.

3 Concern Worldwide US Annual Report 2019 Concern Worldwide Who We Are and What We Do

Concern Worldwide is a non- Our Core Values governmental, international, These are built on our history and the voluntary, humanitarian organization compassionate commitment of Concern’s founders: dedicated to the reduction We focus on extreme poverty: We are driven by a clear focus on eliminating poverty in the most vulnerable of suffering and the ultimate places and responding to humanitarian crises. elimination of extreme poverty We believe in equality: People are equal in rights in the world’s poorest countries. and must be treated with respect and dignity.

We listen: Listening and partnership are key to empowering the poorest and most vulnerable to Our Vision for Change transform their own lives. We believe in a world where no one lives in poverty, We respond rapidly: People affected by disasters are fear or oppression; where all have access to a decent entitled to have their most basic needs met through standard of living and the opportunities and choices rapid, effective and principled responses. essential to a long, healthy and creative life; a world where everyone is treated with dignity and respect. We are courageous: Taking necessary risks, balanced with sound judgement, allows us to work in the most Our Mission – What We Do challenging contexts. Our mission is to help people living in extreme poverty We are committed: We go the extra mile to support achieve major improvements in their lives which last communities in times of need and in the face of very and spread without ongoing support from Concern. difficult operating environments.

To achieve this mission, we engage in long-term We are innovative: Finding effective solutions requires development work, build resilience, respond to innovative thinking combined with a pragmatic approach. emergency situations, and seek to address the root causes of poverty through our development education We are accountable: Accountability and transparency and advocacy work. are central to all of our actions and use of resources.

4 Who We Are and What We Do

Faduma, South Sudan Faduma* is a member of The Majok Mother Care Group in Aweil, South Sudan. They meet twice a month, making home visits to women who have just given birth to share best practice about breastfeeding, good hygiene and nutrition. Photo: Abbie Trayler-Smith / Concern Worldwide

*Name changed to protect the identity of the individual

5 Concern Worldwide US Annual Report 2019 Where We Work In 2019, Concern worked in 24 of the world’s poorest and most vulnerable countries to alleviate poverty and hunger.

Turkey

Syria Lebanon

Haiti Niger Republic of Sudan Chad

Sierra Leone South Ethiopia Central Liberia Sudan African Republic Somalia

Democratic Rwanda Republic of Burundi Kenya Congo

Malawi

Mozambique

Afghanistan Ethiopia Bangladesh Haiti Republic of Sudan Burundi Iraq Rwanda Central African Republic Kenya Sierra Leone Chad Lebanon Somalia Democratic People’s Liberia South Sudan Republic of Korea Malawi Syria Democratic Republic Mozambique Turkey of Congo Niger

6 Where We Work 28.6m People Reached

24 Countries

Democratic People’s Republic of Korea

Afghanistan

Pakistan Bangladesh 82 Emergency Responses

Burundi $212.2m Total Global Income

$49.9m Total US Income

7 Concern Worldwide US Annual Report 2019 Focus On: Cyclone Idai

2019

Concern first visited Patrick just some chickens, which have been a March 2019 after Cyclone Idai wreaked havoc on good source of income. He plans to Monyo village, close to the Malawi/ sell some of his chickens to help was a very Mozambique border. He was newly provide food and basic necessities married at the time. for his family, which now includes difficult time a baby girl. Patrick and his new wife spent three for Malawian months away from their home after Patrick still lives in fear of another the destructive storm and had to storm, as his area is vulnerable to farmer, Patrick rely solely on fishing following the floodwaters. But he does get some devastation. peace of mind from the fact that, Ghembo. now, he gets weather and early After Cyclone Idai, Patrick received a warning alerts from local Village cash transfer from Concern of 23,000 Civil Protection Community groups, kwacha (around $32) to help him telling him to move to higher ground rebuild. He also received maize seeds when needed. which he was able to plant straight away, which led to a decent harvest. Patrick hopes to be able to send his daughter to school one day and has Through Concern's cash transfers, aspirations to open a grocery shop, Patrick also bought two goats and as well as maintaining his farm.

8 Feature — Cyclone Idai

Patrick, Malawi Left: Patrick Ghembo standing in a field where his crops were destroyed by Cyclone Idai in 2019. Below: Patrick received seeds from Concern following Cyclone Idai and is standing in the same field with a healthy crop in early 2020. Photos: Gavin Douglas / Concern Worldwide

2020 2,825,000 226,437ac 95% Cyclone Idai affected The floods destroyed In Nhamatanda, Mozambique, 975,000 people in Malawi approximately 226,437 95% of the maize, beans and and 1,850,000 million people acres of crops (maize, pulse, ground nuts were destroyed in Mozambique. rice, sorghum, millet) in 15 by floods, just weeks before districts in Malawi. they were due to be harvested. 8,150 82,800 2,500 Cash transfers helped 6,500 We distributed seeds and 2,500 families in Malawi families in Malawi and 1,650 tools to 57,200 people received food baskets to families in Mozambique in Malawi and 25,600 people help them during the first to buy food and to start in Mozambique to plant weeks after the flooding. rebuilding their homes. winter crops.

9 Concern Worldwide US Annual Report 2019 Our Programs

Concern Worldwide reached approximately 28.6 million people in 24 of the poorest and most vulnerable countries in the world during 2019. Our work spans five main program areas: emergencies, livelihoods, health and nutrition, education and integrated.

↘ EMERGENCIES see page 12 ↘ LIVELIHOODS see page 14 ↘ HEALTH AND NUTRITION see page 16 ↘ EDUCATION see page 18 ↘ INTEGRATED see page 20

10 Our Programs 28.6m People Reached

24 Countries

82 Emergency Responses

Yimam, Ethiopia Yimam is a participant in the graduation program, which is designed to enable pathways out of poverty for the extreme poor by providing them with a comprehensive package of support (social assistance, livelihood development and access to financial services). Photo: Nick Spollin / Concern Worldwide

11 Concern Worldwide US Annual Report 2019 Emergency Programs

In 2019, we responded to 82 emergencies in 21 countries, reaching 3.9 million people directly and over 7.5 million people indirectly.

When an emergency strikes, we Examples of our seek out the poorest and hardest- achievements in 2019 Aweil Area, South Sudan to-reach communities to meet their Women collecting food rations immediate needs, and work with We engage in a wide variety of projects from a Concern Worldwide and them to design innovative, fast and to advance the above objectives. World Vision food distribution in effective responses. We stay with The following examples illustrate the the Aweil area, South Sudan. The general food distribution occurs them to help rebuild their lives and range of activities and outputs of our every two weeks, running from to ensure that they are more able to emergency projects: April to August. People travel cope with future crises. up to 16 mi to get there (some In March 2019, Cyclone Idai hit Southern staying with friends or family Africa with a devastating impact on along the way to break up the the vulnerable communities living journey). They receive these Objectives and activities items: Sorghum 83 lbs, Cooking there. Fields were flooded, crops were oil 27.5l, Beans or lentils 8.25 lb, The goal of our emergency program is destroyed, and infrastructure including soy blend (amount depends on to fulfil our humanitarian mandate by homes, latrines, wells and roads were who you are, e.g. pregnant and effectively responding to and levelled, placing an enormous strain on breastfeeding, under five, elderly mitigating against natural and already impoverished populations. In etc.). Photo: Abbie Trayler-Smith / human-influenced disasters. Malawi an estimated 975,000 people Concern Worldwide were affected. We supported more Our main objectives are to: than 10% of the affected population in three districts through a multi- ↘ Respond rapidly in order to sectoral response which included food save lives and reduce suffering distributions to 2,500 households, seeds ↘ Improve access to food, and tools to 7,500 households and cash healthcare and water transfers to 8,120 families. We reached approximately 26,400 people with ↘ Prevent and reduce the impact hygiene messaging, which is especially of emergencies important when clean water supplies have been destroyed.

12 Emergency Programs

82 Emergency Responses

21 Countries

In Mozambique we worked A chaotic and deteriorating security In the Democratic Republic of Congo alongside our Alliance2015 situation in Afghanistan combined our teams organized a market in partners, Welthungerhilfe and Cesvi with recurring natural disasters and a Kowe, North Kivu Province, enabling in Nhamatanda, a town 62 miles severe drought resulting in a surge in some 3,000 internally displaced northwest of Beira, which was the numbers of internally displaced people and host families to buy food directly in the path of the cyclone. people in the northeast of the country. and household essentials, as well as We distributed emergency kits plus Concern supported almost 19,000 rehabilitating water points, latrines seeds, tools and food rations to conflict and disaster-affected people and local health centers - all in a approximately 25,000 people so throughout Badakhshan and Takhar context where there are no cars and farmers could plant winter crops and with cash payments, household items the closest town is 93.2 miles away by have sufficient food while waiting for and emergency shelter. boat. In Lomami Province, the team the harvest. was able to reach over 43,860 people The Rohingya crisis in Cox’s Bazar with food, seeds and tools despite Over 19,062 households in Bangladesh remained a focus severe logistical challenges, including (approximately 95,310 people) in for Concern in 2019. We continued having to cross a river without a bridge. Northern Bahr el Ghazal in South to screen and treat children Sudan received food aid rations and vulnerable older people for between April and September to malnutrition, achieving cure rates ensure they had enough to eat during of above 80%. We also increased the lean period. This is the time preventative measures including when most households run out of teaching over 5,000 pregnant and food stocks, because of flooding, breastfeeding mothers and drought and/or crops suffering from caregivers about nutrition and pests and diseases. During this personal hygiene, running more $107.2m crucial six-month period, over 4,000 than 400 cooking demonstrations metric tons of food including cereals, for approximately 12,700 caregivers In 2019, we spent $107.2 million pulses, vegetable oils, and salt were and distributing seeds and fertilizer meeting emergency needs and distributed to targeted vulnerable to over 2,100 households for improving access to food, water households. home gardening. and healthcare.

13 Concern Worldwide US Annual Report 2019 Livelihoods Programs

In 2019, we improved the food security and livelihoods of 600,000 people directly and over 2 million people indirectly.

Our livelihoods programs address ↘ Promote graduation to economic malnutrition rates. In our target areas, some of the underlying problems productivity we supported extension workers to experienced by people living in extreme give advice on selective breeding, ↘ Strengthen our climate-smart poverty when trying to earn a living. as well as working with the Marsabit agriculture program We provide small-scale credit to invest County government to treat and in business development, and train vaccinate over 37,000 livestock people in vocational skills that create against disease, and, by repairing employment opportunities. We also Examples of our work and boreholes, ensuring that more than work with communities to improve the achievements in 2019 87,500 animals were able to access productivity and nutritional value of water at the height of a drought. crops using practices that help mitigate We engage in a wide variety of against the impact of climate change. activities in order to deliver the above In northern Syria, displaced objectives. The five examples here communities face high levels of food illustrate the range of activities and insecurity, with limited opportunities Objectives and activities outputs of our livelihood projects: to earn a living or grow their own food. We launched cash-for-work The goal of our livelihoods program In Marsabit County in northern Kenya, initiatives, which benefited over is to enable extremely poor people to our livelihoods program directly 1,385 households who earned an have secure livelihoods. impacts over 47,500 people. Livestock income working on the restoration of is the main source of food and income essential public/municipal services, Our main objectives are to: for 81% of the population, so the such as water supplies and schools. program has a focus on improving In rural areas, we assisted more ↘ Reduce hunger animal health and productivity, than 1,478 farming households ↘ Strengthen our social protection including quantity of milk, or quality with agricultural vouchers to enable programming, work skills and of meat, or value at market. This in them to buy necessary inputs such support systems turn directly helps to reduce acute as seeds, fertilizers and irrigation

14 Livelihood Programs

mechanisms to increase their harvest. Data collected during post-harvest monitoring showed that productivity had increased for 81% of the targeted households. $21.4m Our integrated urban program in We spent $21.4 million in 2019 Bangladesh works with just under delivering programs that enable 41,000 extremely poor people living people in extreme poverty to in slums, squatter settlements and have secure livelihoods on the pavement to improve their health and opportunities to earn a living. In 2019, over 1,470 households were supported in running small businesses, including business skills training and cash grants. A further 480 people were supported with vocational training, of whom 265 quickly succeeded in securing jobs.

In Ethiopia, our integrated livelihoods program reached over 51,000 people in South Wollo and Wolayita. The 2.6m program uses a graduation approach People Reached to build livelihood security and improve the nutrition of participants through a number of activities. A survey conducted in 2019 shows that participants are now in a much more secure position since the start of the program in 2017. The amount of livestock households now own has grown from an average of 1.7 animals to 11.5 animals, and 97% of households are now able to save cash regularly. In addition, 89% of households report that they are now able to have at least two meals a day and that their diet is more varied and balanced.

In Liberia, the rural poor are particularly vulnerable to the impact of climate change. We are working to improve the food security and the resilience of over 3,000 people in Grand Bassa County. We provided training on crop production and Climate-Smart Agriculture to over 1,683 smallholder farmers. This included 60 farmer field assistants who then go on to support smallholder Euphemia, Burundi farmers in their district. Other Euphemia Inina waters her elements of the program include market garden at her home supporting Community Savings and in Mabayi, Cibitoke. As part of the graduation program, Loans Associations, which give over participants are given seeds 3,328 members access to loans from and training on how to grow their pooled savings. food. Photo: Abbie Trayler- Smith / Concern Worldwide

15 Concern Worldwide US Annual Report 2019 Health and Nutrition Programs

In 2019, our health and nutrition programs reached over 2.9 people directly and over 7 million people indirectly.

The health systems are extremely weak Examples of our work disease by working with and training in many of the countries where we and achievements in 2019 over 100 traditional healers and other work and communities are often unable influential women to promote health to get the help they need to prevent We engage in a wide variety of facility treatment and preventative suffering from under-nutrition and activities in order to deliver on our measures as opposed to traditional preventable diseases. To help overcome objectives. The following five examples ones. The women visit the communities this, we work with local and national illustrate the range of activities and to share their knowledge and make governments to strengthen healthcare outputs in the area referrals to the health clinics where systems and improve access to good of health and nutrition: necessary. Earlier and more consistent maternal and child healthcare, as well treatment of malaria symptoms is as water and sanitation services. Our nutrition programs in Burundi reported in the communities taking reached over 89,260 people and part in project reaching just over produced impressive results, with the 14,000 people in 2019. Objectives and activities number of children in our program more likely to have a minimal In West Darfur, Republic of Sudan, we The goal of our health programs is to acceptable diet for a healthy life. The continued to support and strengthen contribute to the achievement of health families of these children are far less the health systems in two areas to and nutrition security for the people we likely to have to resort to negative provide improved health and nutrition work with. coping strategies like selling their services to almost 66,000 conflict- household assets or eating seeds affected people. We repaired and Our main objectives are to: meant for planting. expanded two nutrition centers and rehabilitated a further 11 health ↘ Prevent under-nutrition In Sierra Leone, malaria poses centers. In conjunction with the and extreme hunger a significant health risk in the Ministry of Health, we procured and communities in which we work and provided essential supplies and ↘ Strengthen maternal can lead to death if not treated early. equipment to ensure communities and child health In Tonkolili district, where malaria is had access to basic health services ↘ Strengthen health facilities prevalent and a leading cause of death throughout the year. Over 32,649 in children under five, we are taking patients were treated at the health ↘ Improve access to clean a unique approach to tackling the centers in 2019, and a further 5,812 water and sanitation

16 Health and Nutrition Programs

women received pre-natal services. people through the rehabilitation of We also continued to build the 80 latrines and the construction of capacity of the state and local health 173 new latrines. 43 new septic tanks 9.9m authorities, paying monthly incentives were installed and 126 water tanks and providing technical assistance and were distributed. In addition, 9,500 People Reached training to staff from the ministry and people benefited from hygiene-related local health authorities. awareness sessions.

Syrian refugees living in informal In the Sila region of Chad, we settlements in Lebanon often face have been working to supply clean health-related risks caused by unsafe water to communities by installing or non-existent water supplies and boreholes and pumps. To ensure their sanitation. We ensured and maintained upkeep, volunteers from the villages standards of health and wellbeing form committees and are trained for approximately 10,300 of the on maintenance, hygiene around most vulnerable people in 2019, the pump and administration. Sixty $14.5m supplying safe drinking water to over committees were supervised in 2019, We spent $14.5 million in 2019 9,800 people, and connecting 27 and a household survey showed that delivering programs that contribute informal settlements to the public 65% of households had access to to the achievement water supply network. Sanitation and clean water, a significant increase of health and nutrition security hygiene was improved for over 7,000 from 48% in 2018. for poor people

Rahana, Niger Rahana Chaibou (30) with her daughter Apsatou (9 months) who is is severely malnourished and has been receiving treatment at a Concern- supported health center. Photo: Apsatou Bagaya / Concern Worldwide.

17 Concern Worldwide US Annual Report 2019 Education Programs

In 2019, our education programs benefited over 200,000 people directly and over 800,000 people indirectly.

We believe that all children have Examples of our work the right to an education and that it Afghanistan and achievements in 2019 Schoolgirls in a community- provides one of the surest routes out based school in Afghanistan. of poverty. We integrate our education Our program in Takhar province Photo: Concern Worldwide programs into both our development in Afghanistan aims to provide a and emergency work to give extremely quality primary school education for poor children more opportunities in children in vulnerable communities. It life, supporting their overall wellbeing. also supports illiterate adults to learn basic reading and writing skills, which improves their own opportunities Objectives and activities and also contributes to an enabling environment for children over the The goal of our education program long term. Almost 4,800 people is to improve the lives of extremely benefited from the program in 2019. poor children in a sustainable way, We established and/or supported 20 by increasing their access to quality community-based education (CBE) primary education. classes, six government-run schools and 27 adult literacy courses, Our main objectives are to: including hiring teachers. Learning materials were distributed to over ↘ Increase school access 2,860 students. Seventy-six learning ↘ Improve school facilities kits were provided to enhance the capacity of CBE and government ↘ Improve learning outcomes school teachers. ↘ Provide access to education for children in emergencies In Malawi, we completed our “Right to Learn” program which supported girls in

18 Education Programs

$5.6m We spent $5.6 million in 2019 delivering programs that help extremely poor children access a quality primary education.

Phalombe District to achieve their right District in Sierra Leone, we reached uniforms, glasses and hearing aids, to an education in a safe environment approximately 37,000 people, through so children could succeed in the free from discrimination and violence. our “Safe Learning Model” program, classroom. 456 teachers and school We worked in 30 schools in the district facilitating community mobilization counselors were trained to spot and also with the wider community, sessions around the value of education. and communicate effectively with reaching almost 62,000 people to This contributed to the enrollment of children suffering from trauma. address the root causes of school- more than 20,900 pupils in 80 schools. related gender-based violence and All 80 schools were supported with In the Benadir region of Somalia, encourage behaviour change. Across teaching and learning materials, and we provided access to safe, quality the 30 schools, the reading ability of the 55 were provided with social and primary education to just under target girls improved significantly - at emotional learning or school club 9,900 children from the poorest, the beginning of the program, 39% of materials, which helped to keep the most vulnerable and marginalized girls were able to read 45 correct words average attendance rate high at 94%. communities. We rehabilitated and per minute, rising to 82% by the end. furnished 11 school buildings. Over The girls’ confidence also increased Many Syrian refugee children living 80 Community Education Committee significantly, with 83% feeling able to in Turkey have now missed over four members (responsible for school say no to sexual advances and abuse, years of school. In Sanliurfa district, management and encouraging the and demand the support they need at where Concern works, over half of the community to send their children school from teachers and parents, up school-aged children do not attend to school) received training, and a from 38%. for a variety of reasons, including the further 364 teachers received training need to help earn money for the family on positive classroom management Past conflict and poverty, together and low literacy rates. Additionally, techniques, lesson plan development with a lack of school buildings, many are suffering from trauma, and execution. unpaid teachers and harmful and anxiety and stress. Our emergency discriminatory gender roles and education program enabled 1,703 attitudes, all contribute to a situation vulnerable children to access school where a child’s right to education does by providing cash assistance to not always materialize. In Tonkolili parents and materials, such as school

19 Concern Worldwide US Annual Report 2019 Integrated Programs

In 2019 we reached over 1 million people directly through our integrated programs and approximately 2.2 million people indirectly.

The challenges faced by the extreme 135,300 vulnerable people with its kitchen gardens. We also set up 51 poor are multi-dimensional. We integrated program to reduce spikes mother groups, adding to the 91 believe that more effective and lasting in child malnutrition. We supported previously established, with a total solutions can be found in interventions improved food production for more membership over 3,525 mothers/ that deliver a range of integrated than 5,500 households, distributed caregivers. Members learned about programs with the same target group, carrot, cabbage and tomato seeds, and the importance of good nutrition in the same area, in a coordinated way. provided training on land preparation and were encouraged to bring and vegetable gardening techniques. their husbands to the training Over 10,000 people were supported sessions so they learned together Objectives and activities with nutrition education, focusing on and shared their understanding of maternal and child feeding. Sixty-six recommended changes. The goal of our integrated programs is mother-to-mother support groups to improve the lives of the extremely with just above 1,050 members, were In Pakistan, where 70% of the poor by addressing their needs in a established. More than 21,000 people population are acutely exposed to holistic way, tackling the inter-related benefited from newly constructed natural disasters, our resilience barriers that impede development. latrines, together with hygiene building program reached almost education to help reduce incidents of 170,000 of the most vulnerable The objective of the program is diarrheal disease, especially among people in three districts. Activities to deliver sustained improvements children. included setting up 231 disaster in the overall living conditions of the management committees, training targeted communities. Our program to reduce under-five 350 masons to build disaster- mortality and disease rates in Grand resilient shelters, constructing Bassa and Rivercess counties in 63 resilient hand pumps and 585 Examples of our Liberia benefited over 16,000 people underground household water with livelihoods, nutrition, WASH tanks, running 536 hygiene work in 2019 (water, sanitation and hygiene) promotion sessions. and gender equality activities. To Acute malnutrition in children under improve the nutrition and health of Our “Building Resilience for Poverty five years of age continues to be a mothers and children under five, Reduction” program in West Darfur, significant problem inEthiopia. In the 2,625 mothers were supported Republic of Sudan supports just Amhara Region, Concern reached over with seeds and tools to establish over 38,000 people to better

20 Integrated Programs

withstand weather-related shocks and stresses, through a combination of livelihood and health-related activities. To help participants build more secure livelihoods, the focus has been on training and providing agricultural inputs such as seeds and livestock, strengthening access to markets, and helping people, especially women, join village saving and loans associations. Since the start of the program in 2017, there has been a reduction in the hunger gap (the length of time when food supplies have been used up) from 3.65 months to 1.95 months in 2019. Targeted households have reported a better and more diversified diet.

Our emergency response program brought lifesaving assistance to over 270,000 internally displaced people and other marginalized groups in Somalia and Somaliland. We provided over 125,000 consultations for adults and children at health facilities, immunized more than 21,600 children, and treated over 18,000 children under five and pregnant and breastfeeding women for acute malnutrition. Water, sanitation and hygiene work reached almost 193,000 people. This included water trucking, the construction of boreholes, wells, underground water storage and water pipelines, the rehabilitation of water points, distribution of hygiene kits, as well as carrying out hygiene promotion activities. Over 80,000 extremely vulnerable people benefited from cash payments to enable them to buy food and other essentials.

Esther, Liberia Grandmother, Esther Glah, is Chairwoman of the Mothers’ Group in the village of Pay Chea. She is a Trained Traditional Midwife who has been retrained by Concern to refer pregnant women to the local health facility. Esther said: “I enjoy being part of the Mothers’ Group. It gives power to women and helps us feel good about ourselves. We have $34.2m been educated about gender issues. Before, we were never exposed to We spent $34.2 million in 2019 these things. Now we know how delivering programs that address the to stand up for ourselves. No one needs of the extremely poor can take advantage of us anymore. Concern has helped us a lot.” Photo: in a holistic way. Nora Lorek / Panos Pictures for Concern Worldwide

21 Concern Worldwide US Annual Report 2019 Focus On: Climate-Smart Agriculture

Esime & Esnart, Malawi Esime Jenaia, a Lead Farmer for conservation agriculture, at her plot in Chituke village, Mangochi, Malawi, with neighbor, Esnart Kasimu. Concern has been carrying out Conservation Agriculture programming in Malawi since 2012. Photo: Kieran McConville / Concern Worldwide

Climate change is one of the In many areas where we work, communities rely on agriculture both biggest threats in the fight to for food and income. Faced with degraded land and extreme weather, end global poverty. According farmers often contend with food insecurity and unreliable income. to the World Bank, the effects Concern is helping communities deal with climate change through Climate- of climate change have the Smart Agriculture. power to push an additional 100 To protect and improve livelihoods in Pakistan, over 200 Climate- million people into poverty over Smart Agriculture sessions were conducted, 43,450 forest tree plants the course of the next decade. were distributed to encourage agro- forestry and raise awareness of Those least responsible for environmental conservation, and 140 communal gardens with underground climate change — the poor and water tanks were established. For those households that depend vulnerable — are those who feel on livestock for their livelihoods, we ran 129 training sessions on its effects the most. livestock management and trained 240 community livestock extension workers to ensure the provision of affordable livestock services.

22 Feature — Climate-Smart Agriculture

Cecelia & Teneh, Liberia Cecelia, right, and Teneh, left, in Teneh’s vegetable garden. They are both members of the Wrobone Town Mother’s Group. They have received training and support from Concern to grow their own vegetables. Teneh said, “I joined the Mothers’ Group and learned how to plant a vegetable garden. I grow peppers, bitter bulb and okra. I sell some of what I produce. I also have 10 chickens.” Photo: Nora Lorek / Panos Pictures for Concern Worldwide

In the Diffa region of Niger, a new a program to reduce soil and land program was launched in 2019 to build degradation and increase sustainable the livelihoods and resilience of over food production. In exchange for 6,000 extremely labor, participants were provided Building the vulnerable people. with cash and insurance for three 91 Although the months. Key achievements included livelihoods program is still the construction of a 16 acres solar- In Chad, we reached at an early stage, powered irrigation scheme; 159 miles and resilience we are already of swales (channels to manage water over 45,500 people of over 6,000 seeing good runoff) were stabilized; 358 cubic yards in 91 villages. results from a of dams were maintained; 247,409 extremely project promoting trees were planted on hillsides, river vulnerable growing banks, and around public buildings. vegetables people in through In Chad, we reached over 45,500 Niger. kitchen “sack” people in 91 villages. We have gardening. Project been training farmers to use a participants were given perforated conservation agriculture method sacks, seeds and other items, such as of farming which minimizes soil watering cans and fertilizer, and by the disturbance, improves soil condition end of the year had harvested close to and increases production. In 2019, 10,600 lbs of vegetables, helping to add farmers using this method had higher variety to their diets. yields than those using traditional methods, producing 41% more In Mangochi District in Malawi, more peanuts and 35% more sesame than 51,400 people took part in from their fields.

23 Concern Worldwide US Annual Report 2019 How We Work

Working VOICE (Voluntary Organizations in Cooperation in Emergencies) in the EU, and the International with partners Council of Voluntary Agencies in Geneva.

In the academic arena, we collaborate closely Concern cannot achieve with Sonke Gender Justice, the Conflict Unit of its mission to eliminate Dublin City University, Tufts University, Liverpool School of Tropical Medicine, Kenyatta National extreme poverty in isolation. Hospital the University of Nairobi, Imperial We believe we can achieve College London, Institute of Development Studies at the University of Sussex, and Trinity greater impact working College in Dublin. in collaboration with In 2019, Concern provided $15.7 million to other organizations and 116 partners. institutions.

Our partners include other international and local non-governmental organizations, government bodies, research institutions and private sector companies. In 2019, in 21 of the countries we work in, programs were partially or fully implemented through partners. Partnerships were evident across all the sectors in which we work, and grants to partners represented over 8% of total charitable expenditure. 116 Concern remains committed to working strategically in partnership with other Partners international actors, such as the United Nations, international NGOs and global platforms, where we can have a greater impact. We are active members of the Scaling Up Nutrition movement and are a member of the Global Nutrition Cluster Standard Advisory Group, which works to safeguard and improve the nutritional status of emergency-affected populations.

We also work together with a number of organizations to amplify our voice around $15.7m global justice, human rights, humanitarian aid, and strengthening citizen participation. These We provided $15.7 million include InterAction in the USA, Dóchas in Ireland, to our partners

24 How We Work

Atiir, Kenya Atiir (8) lives in Turkana, North Kenya. Photo: Gavin Douglas / Concern Worldwide

25 Concern Worldwide US Annual Report 2019

Joana, Mozambique Joana Luis received supplies, including rice, beans, seeds and tools from Concern and Alliance2015 partners, Welthungerhilfe and Cesvi, at a distribution in Ndeja, Mozambique, following Cyclone Idai. Photo: Tommy Trenchard / Concern Worldwide

26 US Government Partnership US Government Partnership

At Concern, we spend a lot of time talking about the attends homework help and Turkish language tutoring generous donors who make our work possible, and the in the evenings so he can catch up to his peers and learn many partners who help ensure our work achieves our important vocational skills. The mother whose children no mission to end extreme poverty, whatever it takes. The longer get sick from drinking water from the Congo River, teams down in Washington, DC at the US Agency for because there is a newly rehabilitated clean water point in International Development and US Department of State the community. are not just financial supporters. We consider them vital partners in our work. These are just three people – among nearly 10 million across the globe – reached by our US Government funded Concern received more than $41 million from the US programs in 2019. And don’t forget the power that a Government in 2019 to support 26 programs in more positive change in one person’s life can have on the lives of than a dozen countries. That’s impressive. But what we’re his or her family and entire community. most proud of are the individual stories of the people who participate in those programs. In short, our collaboration with the US Government – rooted in the generosity of the American people – enables The farmer in Kenya who learns through a first-of-its- Concern to achieve impact on a staggering scale. And each kind Livestock Health Early Warning System how to person, face, and story of transformation inspires and keep her animals healthy. The young Syrian boy who humbles us as humanitarians, and as Americans.

Kersa Dula, Somali Region Ethiopia Saynaba Kasim (27) with her baby daughter Shukria (16 months old). Shukria is being treated for malnutrition at a USAID-supported Concern Stabilization Center. Photo: Jennifer Nolan/ Concern Worldwide

27 Concern Worldwide US Annual Report 2019 CMAM at 20 The evolution of a revolution

The costs also ran high for families seeking care. Mothers Twenty years ago, Concern played would often have to journey —by foot — for days to reach a key role in developing a system a treatment center. They would also have to leave their work and other children behind. As one mother in Ethiopia, that would revolutionize nutrition Hekuat Kahsay Fanta, told us: “If I leave my other children and help save millions of young at home, I close the door on them. To save one life, I can lives around the world. lose the rest of my children.” As Concern’s International Program Director Anne The story of Community Management of Acute Malnutrition O’Mahony explained: “More and more, it became clear that (CMAM) is quintessentially Concern: a listen-first center-based care wasn’t the solution.” approach, developed in partnership with communities, balancing innovation with simplicity to great impact. A world-changing partnership Concern partnered with Dr. Steve Collins and his The challenge humanitarian research organization Valid to find a For years, centralized in-patient treatment centers were solution. We soon found that the limiting factor to treating the accepted approach for treating acute malnutrition malnutrition wasn’t the medical care itself, but how to in children under 5. Logical in theory, it was failing in access it. We needed to de-centralize treatment centers. practice. The costs of running these centers were high, as they required 24/7 staffing. The treatments were also One solution to this came in the form of a simple perishable, meaning that refrigeration was a must. plastic strip. Traditionally, healthcare workers screened for malnutrition using the standard of weight against height. This is difficult to do on a community level as the equipment is not cheap or portable.

Collins pointed to research that supported mid-upper-arm circumference (MUAC) as a strong predictor of nutrition- based childhood mortality. Using a strip of plastic called MUAC Tape, healthcare workers could screen and diagnose children virtually anywhere with relative ease.

Hala Families who are forced to become refugees often have to contend with hunger and child malnutrition. When Layru and her family reached the safety of Bangladesh, having fled violence and persecution in Myanmar, her daughter Hala was in crisis. The 15-day trek had taken a terrible toll, leaving the little girl weak and severely acutely malnourished. Concern had established nutrition clinics within the refugee camps and deployed community volunteers to seek out cases like this. Utilizing the CMAM approach, Hala was put on a course of Plumpy’Nut’, administered by her mom, and returned to the clinic weekly for screenings and a new supply. Within two months she was back to an acceptable weight and well on the road to recovery. Photo: Kieran McConville, Concern Worldwide

28 CMAM at 20

Core to the CMAM approach are The essential ingredients Plumpy’Nut and other Ready To Another solution came from peanuts when French Use Therapeutic Foods (RUTFs). pediatrician André Briend developed Plumpy’Nut, a high- Photo: Kieran McConville, calorie peanut-based paste. It was easier to store, had a Concern Worldwide longer shelf-life, and packed a lot of calories and nutrients in a small amount of food.

There was one other vital ingredient: Creating a treatment approach to bring these two innovations together.: “The idea was to send these children home with the correct food and the care that went with it, so that the mothers could actually take care of them themselves,” says Anne O’Mahony. “This was a mind-blowing idea in some ways.”

Putting it all together This idea became known as Community Therapeutic Care (CTC). With the CTC model, mothers could have their children screened close to home easily and accurately with a community healthcare worker and MUAC Tape. If diagnosed with acute malnutrition, they would be given That same year, the World Health Organization, UNICEF, the first round of therapeutic food that day and return with and the World Food Programme issued a joint statement their child for weekly checkups. recognizing what we now call CMAM (Community Management of Acute Malnutrition) as a best practice, Concern and Valid piloted CTC during a famine in Ethiopia setting into motion a transformative approach that over the in 2000. While previous had resulted in child last two decades has saved millions of children’s lives in mortality rates between 10% to 30%, our pilot community dozens of countries. saw just 4.5%. We then tested CTC one year later in Darfur, Sudan to similar results. This revolution would not have been possible without funding from IrishAid and USAID, operational partnerships Gaining momentum with UNICEF and other colleagues, - and most importantly CTC was initially met with resistance in the humanitarian national ministries of health, community leaders, aid community as it challenged the traditional aid model. and mothers where we worked.

Concern and Valid worked with Malawi’s Ministry of Health The work doesn’t stop there to pilot CTC at scale in Dowa district. As more mothers But the real goal is 0%. We’ve continued to work with bought into this new model of treatment, they told other partners and communities to find more tailored approaches mothers about how to spot malnutrition and where to to community-based treatment. CMAM has now grown into get help. The program gained a valuable component: CMAM Surge, a way of proactively responding to malnutrition prioritizing individual agency and sharing knowledge. during seasonal “surge” periods throughout the year.

Setting the standard Two CMAM Surge pilot tests in Kenya in 2012 saw that the By 2007, we had treated over 23,000 cases through 21 model managed peaks, without undermining other health CTC programs in 4 different countries. More importantly, and nutrition efforts. Since then, we’ve been rolling out we reached over 70% of those who needed the care, CMAM Surge around the world, while also keeping an eye surpassing the old system’s reach of (at most) 10%. out for ways it can evolve in the future.

Simon CMAM didn’t exist when Simon Piol was a child. In 1998, a humanitarian crisis resulted from Southern Sudan’s ongoing conflict with Khartoum. Hunger was rampant. Simon remembers when Concern staff began visiting his village to cook porridge for malnourished children like himself. The methodology was basic, but effective. “I used to come here to eat… Concern saved my life,” he says. Two decades later, life has come full circle. Simon lives in a newly free nation and now works for Concern. He’s a Nutrition Assistant, screening malnourished children at a clinic in Aweil and referring them for treatment. Often, that treatment involves CMAM. The next step for Simon involves going back to school to become a qualified nutritionist, and evolving the treatment of severe acute malnutrition even further. Photo: Kieran McConville, Concern Worldwide

29 Concern Worldwide US Annual Report 2019 Our Supporters

Facebook, Inc. Fitzpatrick Hotel Group Our sincere $100,000 – $249,999 Anonymous (1) Fiserv Frank Wall thanks for the Center for Disaster Gemma Toner and Harry Deverter most generous Philanthropy Howard Szarfarc Jamie Delaney support of the Christine and John Bakalar Henry E. Niles Foundation Joan and Tom Moynihan Charitable Fund Jack Weisberg John Dee United States Charitable Foundation Digicel John Mahon Government. James Murphy and International Medical Corps Jones Lang LaSalle Emer O’Hanlon JetBlue Airways Corp. Joseph and Denise Schorn US Agency for Jim and Frances Roth Michael and Joseph and Virginia Ripp International Development Joanna Hanrahan Jim and Kelly McShane Kevin Fortuna US Department of State Mutual of America Joan Ganz Cooney Kevin Brennan Thomas J. Curry and Joe and Irene King Liam and Olive McCarthy Mary Bisaccio Curry John and Theresa Greed Liam Siegal Our deepest KPMG LLP Loretta Brennan Glucksman $50,000 – $99,000 Madeleine Schachter thanks to our Matthew Hagopian Anonymous (1) Microsoft US individual, Michael E. Houston Catholic Relief Services Robert Charles Golden and corporate, and Dave Nikkel Foundation Maureen Moore Molex foundation Denis O’Brien Thales US Molly McShane and George Schaefer donors who are International Relief Teams The Dana Foundation National Geographic Jeff Kaser and The McShane Foundation leading the way Niall O’Brien and Katie McShane The Peter Jennings Pauline Donoghue in supporting Joan Squires Moran Foundation Northwell Health Concern’s Mastercard Theodore O’Lear Nutanix mission. The Spurlino Foundation United Refining Company Patrick G. Ryan and $10,000 – $24,999 Shirley W. Ryan Foundation $500,000+ $25,000 – $49,999 Anonymous (2) Pratt & Whitney Archer Daniels Alexi Lubomirski Amit Malhotra and Refinitiv Midland Company Avis Budget Group Kara Saxon Rich McMenamin and CARE Christopher Kelly and Avolon Patty Mulvihill Margaret A. Cargill Joanna Geraghty Bloomberg Philanthropies Rosemary T. Berkery Philanthropies Dan Casey and Shane Naughton The International Dolores Connolly Bristol-Myers Squibb Stephanie Pappas, Rescue Committee DemandWorks Media Bruce Grivetti MCS Brands Trickle Up Donnelley Cobb Strecker Dunphy Stroock & Stroock Financial Solutions & Zimmermann Inc. $250,000 – $499,999 & Lavan LLP Ed and Brigid Kenney Datalex Anonymous (1) Tait Weller Ed and Pat McCarrick Erik Engquist and Kris Kim Save the Children USA Terrapin Enright Kearney Foundation Ermeti/Bezerra Family The Spark Fund Charitable Fund The Ireland Funds America

30 Our Supporters

Support our work Become a Monthly Donor Join Our Legacy Society Concern would like to thank those individuals who have Planned gifts – bequests, gifts of life insurance, and chosen to make recurring gifts. Monthly gifts are an qualified charitable distributions from retirement plans – essential source of sustainable and dependable funds for make a powerful statement against extreme poverty and Concern, allowing us to expand our programs without risk are crucial in making sure our lifesaving work continues for and respond faster when an emergency strikes. Join this future generations. Friends who include Concern in their group of dedicated supporters by making your first tax- estate plans are invited to join our Legacy Society. Learn deductible, monthly gift today: concernusa.org/monthly how to become a member: concernusa.org/legacy

The Invus Group, LLC Eileen McDonnell Mike McGavick Corporate The Jamner Family Elisa Kearney Casey & Mulvihill Family Foundation Matching Gifts The Rose Family John Casey Okta, Inc. AARP Foundation The Wren Bar & Restaurant Estate of Mary Clune Omnicom Media Group American Express TIBCO Software Eugene Keilin & Optimum Nutrition Ameriprise Financial Joanne Witty Tim and Kate Waters Patrick Arnall and Apple Goldman Sachs Tone Networks Tommye Fleming Bank of America GOLF.com Verizon Business Group Peter Rigby Biogen Gretchen Rubin VMware Foundation PwC Bloomberg L.P. Grey Group Wayne and Gina Reuvers Randy and Hilary Wilkin Colgate Palmolive Company Holland & Knight LLP William A. Hagan Jr. Richard Russey Conor Commercial Foundation Ireland Network Robert Kirk Real Estate James and Molly Perry Rockland Community Cowan & Company $5,000 – $9,999 Jericho Capital College Performing DELL Arts Department Anonymous (11) Jim Houlihan and Ann Tighe Duke Energy Foundation Roger Weninger Alpha Med Joan Carroll Expedia Cancer Foundation Satin Fine Foods Joe and Eileen Hummel Gartner Andrew Toole Scott and Debbie Gutterson, John and Carly Murphy Geico Philanthropic and Family Apple John Fitzpatrick Foundation Smith & Wollensky Barry McConnell John Whelan and Google Inc. SPACECO Inc. Ben Statz Aine Brazil IMF Matching Gifts Surf Development Bernard and John and Jeanne O’Connor JP Morgan Chase Margaret (Peggy) Smyth Joost Gieskes Sweet Afton Pub Foundation Bimeda JP Morgan Terry George Kimberly-Clark Corporation Blue Hill Consulting Group Kate Johnson The Bonnie LinkedIn Brendan and Kristy Ripp Linesight The Concord Group Mastercard Brendan and Martha Lion Point Capital The Penrose Microsoft (Dabagian) Driscoll Lorcan Shannon The Spaniard Morgan Stanley Burns Family Louis Perwien The Wall Street Journal Mutual of America Charitable Foundation Lundstrom Insurance Thomas Gilliam Oracle Carne Group Manhattan College Tito’s Handmade Vodka Pepsico Foundation Carol Deely Mark and Susan Burger Todd Whitmer Pfizer Foundation Carolann Brown Mark Galway Vinay and Kristen Radia Matching Gifts Program Chris Melling Marquette University Warady & Davis LLP Symantec Comarch Martin Perry and Ware Malcomb The Guardian Life Dan and Marian LeSaffre Barbara Williams Perry WarnerMedia Insurance Company Dan Fingleton and Mary Pat Gannon News & Sports Two Sigma Alicia Sweitzer Michael Elms Wells Fargo The Illumina Foundation Derek Smith UBS Matching Gift Program Microsoft Will and Ginger Conway Discovery Communications

31 Concern Worldwide US Annual Report 2019 A Game Changing Year

Over the course of 2019, we have been overwhelmed by the generosity of those who take part in our galas, luncheons, golf outings, community fundraising initiatives, and who support through Inaugural Florida Event On March 5, 2019, Concern US leadership and regular giving. It held its inaugural event in West Palm Beach, hosted by Concern was an especially exciting year as Ambassador and Florida-based we expanded our presence to the Founder and President of Satin Fine Foods, Kevin O’Reilly. The West Coast, based in Los Angeles, evening was a great success, welcoming over 70 guests, giving us a new platform to drive that included both longtime supporters and new friends eager support for Concern’s mission. to learn more about Concern.

2019 NYC Marathon Winter Ball On a chilly Sunday in November, World-famous fashion photographer and 17 dedicated supporters ran Concern Ambassador Alexi Lubomirski Celebrity Chef and Concern in the annual TCS New York addresses over 470 supporters at our Ambassador Donal Skehan City Marathon as part of Team Winter Ball event in NYC in early December. with Concern US CEO Concern. Staff, friends, and Photo: Jimmy Higgins Colleen Kelly at our welcome family came out to cheer the event in Los Angeles. runners along this iconic course, in recognition of their dedication to long months of training and fundraising. Photo: Dara Burke

Women Of Concern New York Samantha Barry, Editor-in-Chief of Glamour (middle right), and Eileen Lynch, Chief Marketing Officer of Refinitiv (middle left), our 2019 Women of Concern Honorees, were celebrated for their ongoing commitment to creating a better, more inclusive future through the empowerment of women. Concern Spring Run for Haiti They are joined by Concern Worldwide US Over 650 runners, walkers, and supporters came CEO, Colleen Kelly (left) and Concern US together in Central Park in April for the annual 4-mile Chairperson and President and CEO of JetBlue Concern Spring Run. The 2019 event mobilized Airways, Joanna Geraghty (right). members of the Concern community to raise Photo: Ben Asen awareness of our work and fully fund a resilience- building project in Cite Soleil, Haiti. Photo: Ben Asen

32 Feature — A Game Changing Year

The vital humanitarian and human development work carried out by our teams abroad would simply not be possible without that support. We cannot thank you enough!

Thanks-For-Giving Gala On November 15, 2019, our Thanks-for-Giving Gala attracted 200 enthusiastic guests, including Jennifer Werneke, who won the evening’s Last Hero Auction. The fun, exciting new fundraising method helped the event exceed its fundraising goal. Photo: Mike Fan

Chicago Golf Welcome Event Honorary Co-Chairs Jim and Kelly McShane, accepting their award at the 17th Annual in Los Angeles Chicago Golf Outing on July 15, 2019 at More than 80 guests were Chicago Highlands. Jim McShane is the CEO treated to a convivial evening, of the McShane Companies, Vice-Chair of as we celebrated our expansion Concern Worldwide US., and Board Member to L.A. with a kick-off event in of the Concern Worldwide Council October 2019. It was co-hosted in Ireland. by Concern donors Julie and Dan Murphy, and new board Women of Concern Chicago member Jeff Assaf along with his wife Cecelia. The event included Over 400 of our Chicago community welcome remarks by Southern gathered at the 20th Women of Concern California’s Irish Consul General, Awards Luncheon, to support Concern’s Orla Keane, and Celebrity Chef programs empowering women and girls and Concern Ambassador, around the world. The event, (originally Donal Skehan, who spoke of known as The Brigid Awards, after of experiencing Concern’s impact one of the most celebrated women firsthand during a trip to Malawi. humanitarians in Irish history), still inspires the Women of Concern today. Our 2019 honorees were Aedhmar Hynes, former Text 100 CEO, and Allison Robinson, CEO of The Mom Project, seen here with Co-Chairs Jennifer Riordan and Sheila Golden, and Concern Worldwide US CEO, Colleen Kelly. Photo: Mike Fan

Seeds of Hope Annual Awards Dinner Singer Judy Collins gave a International Women’s Day in L.A. powerful speech and a beautiful More than 60 women joined us for an impactful rendition of Amazing Grace to event focusing on women’s empowerment, a crowd of almost 600 guests hosted at the beautiful Blackbird House in at the Annual Seeds of Hope West Los Angeles. Blackbird founder Bridgid Dinner at Cipriani South Street. Coulter (left) talked movingly of her founding a We celebrated the achievements private co-working collective for productivity, of our 2019 honoree, Microsoft, wellness and community for women of color and and focused on the importance their allies. Katie Waller (right) discussed how of climate-smart agriculture Concern’s programming is always conducted as a way to reduce hunger and through a gender lens. “Women and girls are at poverty. Photo: Melanie Einzig. the center of Concern’s work -- because we know that’s where real change begins.”

33 Concern Worldwide US Annual Report 2019 COVID-19 Pandemic

Khadiza & Sumaiya, Bangladesh Khadiza is struggling to feed her family as she cannot go out to earn a living due to COVID-19. Photo: Mohammad Rakibul Hasan / Concern Worldwide

“We are now facing a crisis unlike anything we have seen before. It is the first time all of our program countries face the same emergency. Not only are the poorest countries facing COVID-19, but they are also dealing with the very real possibility of financial destruction and widespread hunger as a result.”

Dominic MacSorley Concern Worldwide Global CEO Summer 2020

34 COVID-19 Pandemic

Across Concern, our unshakeable Iraq Distribution commitment is to stay where we of COVID-19 prevention hygiene are needed and deliver. From kits, at a camp for internally displaced the sprawling refugee camps of people in Iraq. Cox’s Bazar in Bangladesh, the Photo: Concern Worldwide overcrowded urban communities in Port-au-Prince in Haiti or the war zones of Syria, Concern teams are responding—providing soap and water, increasing public awareness about COVID-19 prevention, distributing food and cash, and training health staff.

Marriam, Malawi Marriam Jamali receives soap as part of of hygiene distribution to help prevent the spread of COVID-19. On receiving the soap Marriam says, “This could not have come at a better time.” Photo: Concern Worldwide

Republic of Sudan Nutrition staff at a Concern clinic have been trained in measures to reduce the spread of COVID-19, including hand washing and social distancing. Photo: Concern Worldwide

Cherica, Haiti Cherica, two years and six months old washes her hands in front of her grandmother’s home in Cite Soléil, a district of Port-au- Prince, Haiti, where, in partnership with ECHO, Concern distributed hygiene kits to help prevent the spread of COVID-19. Photo: Dieu Nalio Chery / Concern Worldwide

35 Concern Worldwide US Annual Report 2019 Concern by the Numbers

Concern Worldwide US financial summary statement of activities for year ending December 31, 2019 (with summarized amounts for 2018)

2019 Financial Performance Analysis of Expenditure (Gross)

2019 Total 2018 Total Support and Revenue Contributions and non-government grants 5,021,659 3,134,987 Support from Concern Worldwide 1,608,327 1,390,757 Government Grants 41,177,262 32,649,443 Special Events - net 1,970,934 2,753,906 Other Income 102,068 56,725 Total Revenue and Support 49,880,250 39,985,818 93% Program Activities Expenses Program Activities 44,530,904 34,880,021 Overseas Relief 43,600,889 33,989,761 Development Education 930,015 890,260 3% Management and General Administrative 1,606,869 1,694,877 General and Administrative Fundraising 1,966,454 2,412,220 Total Expenses 48,104,227 38,987,118

Change in Net Assets 1,776,023 998,700 4% Net Assets at Beginning of Year 8,886,232 7,887,532 Fundraising Net Assets at End of Year 10,662,255 8,886,232

36 Board of Directors Board of Directors

Joanna Geraghty Denise Cox Edward R. McCarrick Madeleine Schachter Chairperson Senior Vice President Executive Vice President Assistant Professor Concern Worldwide (US) Chief Customer Officer, ICON International, Inc. Weill Cornell Medicine President & Chief North America Operations Officer Omnicell John Murphy, Esq. Margaret (Peggy) JetBlue Airways Attorney at Law M. Smyth Jumana Culligan John Murphy & Associates Chief Financial Officer Jim McShane Founder National Grid Vice-Chair Paper, Ribbon and Shane Naughton Concern Worldwide (US) Wrap, LLC Managing Partner Gemma Toner Chief Executive Officer Artech Holdings Founder The McShane Companies Donal D’Arcy Chart One Media Operations Manager Denis O’Brien Joan Carroll Office of Gov’t Procurement, Chairman John Treacy Treasurer Ireland Digicel Chairperson, Concern Worldwide (US) Concern Worldwide (IRL) The Invus Group Kevin Fortuna Deirdre O’Connor CEO Founder & CEO Managing Director Sport Ireland Colleen A. Kelly Lot18 Blackrock Group Chief Executive Officer Angelina Vieira Concern Worldwide (US) Scott Gutterson Frances O’Keeffe Advertising & Attorney Volunteer Marketing Consultant J. Jeffrey Assaf The Law Offices of Concern Worldwide (IRL) Senior Managing Scott Gutterson Frank Wall Director and Stephanie Pappas Senior Vice President Chief Investment Officer Michael Houston Chief Executive Officer Turner Broadcasting ICG Advisors Worldwide Chief MCS Brands Executive Officer Kate Waters Joseph M. Cahalan Grey Group Brendan Ripp Senior Vice President Operating Partner Morgan Stanley Dolores T. Connolly Edward J.T. Kenney Attention Capital Founder Mutual of America Sterling Engineering, Inc. (Retired) CONCERNUSA.ORG

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